Customer Satisfaction SurveyCustomer Satisfaction Survey

Red, White and Blue Fire Protection District is committed to monitoring the quality of services we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance. (All submissions are anonymous) Please contact us if you need further assistance at rwbfd@rwbfire.org, 970.453.2474 or 316 N. Main Street, Breckenridge, CO 80424.

1. Please rate the following aspects of our response to your situation.

	Excellent	Good	Adequate	Poor	Unacceptable	N/A
Responded promptly	*Please rate the following aspects of our response to your situation. Responded promptly Excellent	Responded promptly Good	Responded promptly Adequate	Responded promptly Poor	Responded promptly Unacceptable	Responded promptly N/A
Appropriate level of response	Appropriate level of response Excellent	Appropriate level of response Good	Appropriate level of response Adequate	Appropriate level of response Poor	Appropriate level of response Unacceptable	Appropriate level of response N/A
Addressed your concerns	Addressed your concerns Excellent	Addressed your concerns Good	Addressed your concerns Adequate	Addressed your concerns Poor	Addressed your concerns Unacceptable	Addressed your concerns N/A
Communicated clearly and effectively	Communicated clearly and effectively Excellent	Communicated clearly and effectively Good	Communicated clearly and effectively Adequate	Communicated clearly and effectively Poor	Communicated clearly and effectively Unacceptable	Communicated clearly and effectively N/A
Keeping you informed of progress	Keeping you informed of progress Excellent	Keeping you informed of progress Good	Keeping you informed of progress Adequate	Keeping you informed of progress Poor	Keeping you informed of progress Unacceptable	Keeping you informed of progress N/A
Working with you and your family/friends	Working with you and your family/friends Excellent	Working with you and your family/friends Good	Working with you and your family/friends Adequate	Working with you and your family/friends Poor	Working with you and your family/friends Unacceptable	Working with you and your family/friends N/A
Answering questions	Answering questions Excellent	Answering questions Good	Answering questions Adequate	Answering questions Poor	Answering questions Unacceptable	Answering questions N/A
Provided compassionate care	Provided compassionate care Excellent	Provided compassionate care Good	Provided compassionate care Adequate	Provided compassionate care Poor	Provided compassionate care Unacceptable	Provided compassionate care N/A

Additional comments

2. Generally speaking, how do you rate the quality of service we provide?

Generally speaking, how do you rate the quality of service we provide? Excellent	Good	Adequate	Poor	Unacceptable
Additional Comments

3. What level of confidence do you have in us to deliver the services that you require?

What level of confidence do you have in us to deliver the services that you require? Complete	A lot	Some	Little	None
Additional Comments

4. If you have any suggestions regarding how we could improve the services we provide, please enter them in the box below.

If you have any suggestions regarding how we could improve the services we provide, please enter them in the box below.

5. Please provide information below if you would like to be contacted regarding your experience with Red, White and Blue Fire Protection District.

Please provide information below if you would like to be contacted regarding your experience with Red, White and Blue Fire Protection District. Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

Customer Satisfaction Survey

How Did We Do?